能不能编一个主流西医界处理常见儿童疾病的集子

fengning

看到那么多无辜的孩子收抗生素滥用之苦，得了他们本不该得的疾病，真让人感到愤怒。

主要是对做父母的教育。

fengning

有感于我在美国第一次看医生。当时咳嗽，结果医生告诉我去商店买一包糖，睡觉是含一块，这样能抑制一下，根本没给任何药。

Medical Encyclopedia: Cough

URL of this page: http://www.nlm.nih.gov/medlineplus/ency/article/003072.htm

Definition   

Coughing is an important way to keep your throat and airways clear. However, excessive coughing may mean you have an underlying disease or disorder.

Some coughs are dry, while others are “productive.” A productive cough is one that brings up phlegm (also called sputum or mucus). Coughs can be either acute or chronic:

    * Acute coughs usually begin suddenly. They are often due to a cold, flu, or sinus infection. Typically, they do not last longer than 2-3 weeks.
    * Chronic coughs last longer than 2-3 weeks.

Common Causes   

Besides cold and flu, other common causes of coughs include:

    * Allergies and asthma
    * Lung infections like pneumonia or acute bronchitis (may start suddenly but then linger on)
    * Chronic obstructive pulmonary disease (emphysema or chronic bronchitis )
    * Sinusitis leading to postnasal drip
    * Smoking cigarettes, exposure to secondhand smoke and pollutants
    * Gastroesophageal reflux disease (GERD)

If a child has a barking cough, see croup.

Home Care   

    * Cough lozenges or hard candy can help dry, tickling coughs. These should never be given to a child under 3 years old because of the risk of choking.
    * A vaporizer or steamy shower may help a dry cough by increasing the humidity in the air.
    * Drink extra fluids to help thin the secretions in your throat and make them easier to cough up.

Medications available without a prescription include:

    * Guaifenesin (like Robitussin) can help you bring up phlegm. Drink lots of fluids if taking this medication.
    * Cough suppressants like dextromethorphan (Vicks 44, Robitussin DM) may lessen your cough. Although coughing can be a troubling symptom, it is usually your body's way of healing the underlying condition. Therefore, you may not want to supress a cough unless it is interfering with sleep or other factors important for healing.
    * Decongestants, like pseudoephedrine and phenylephrine, can be used to clear a runny nose and postnasal drip. These should NOT be used if you have high blood pressure or for a child under 6 years old unless prescribed by your doctor.

Don't expect a physician to prescribe antibiotics for viral infections like colds or flu. Antibiotics have no effect on viruses. Antibiotics also will not help coughs from allergies.

Call your health care provider if   

Call 911 if you have:

    * Shortness of breath or difficulty breathing
    * Hives or swollen face or throat with difficulty swallowing

Call your doctor right away if you have:

    * Violent cough that begins suddenly
    * High-pitched sound (called stridor) when inhaling
    * Cough that produces blood
    * Fever (may indicate a bacterial infection requiring antibiotics)
    * Thick, foul-smelling, yellowish-green phlegm (may indicate a bacterial infection)
    * A history of heart disease, swelling in your legs, or a cough that worsens when you lie down (may indicate congestive heart failure)
    * Exposure to someone with tuberculosis
    * Unintentional weight loss or night sweats (may also indicate tuberculosis)
    * Cough longer than 10-14 days
    * Cough in an infant less than 3 months old

What to expect at your health care provider's office   

In emergency cases, the patient will be treated first to stabilize the condition. After the condition is stable, the doctor will ask questions about your cough, including:

    * Are you coughing up blood? (How much, how often)
    * Do you bring up any mucus/sputum when you cough? What does it look like? Is it thick and hard to cough up? How much sputum is produced per day?
    * Is the cough severe? Is the cough dry?
    * Does the cough sound like a seal barking?
    * What is the pattern of the cough? Did it begin suddenly? Has it been increasing recently? Is the cough worse at night? When you first awaken?
    * How long has the cough lasted?
    * Is the cough worse when you are lying on one side?
    * Are there sudden periodic attacks of coughing with gagging and vomiting?
    * What other symptoms are present?

The physical examination will include emphasis on the ears, nose, throat and chest.

Diagnostic tests that may be performed include:

    * Bronchoscopy
    * Lung scan
    * Pulmonary function tests
    * Sputum analysis (if the cough produces sputum)
    * X-ray of the chest

Prevention   

    * Don't smoke and stay away from secondhand smoke.
    * If you have seasonal allergies like hay fever, stay indoors during days when airborne allergens are high. If possible, keep the windows closed and use an air conditioner. Avoid fans that draw in air from outdoors. Shower and change your clothes after being outside.
    * If you have allergies year round, cover your pillows and mattress with dust mite covers, use an air purifier, and avoid pets and other triggers.

References   

Holmes RL. Evaluation of the patient with chronic cough. Am Fam Physician. 2004; 69(9): 2159-2166.

Update Date: 6/6/2005

Updated by: John G. Hay, M.D., Associate Professor of Medicine and Pathology, NYU School of Medicine, New York, NY. Review provided by VeriMed Healthcare Network.

寻找中医

支持fengning。
倒不一定多赞同西医，让世人明白真像是最主要的。而且西医一些处理方式对于不懂中医的平常老百姓来讲，则多数还是比较恰当的。
这个有赖于各位，特别是在国外的各位，对西方比较了解，将他们最权威的资料收集起来，我们可以集中翻译一下。
为什么要最权威呢？这主要是给我国人看得，告诉他们，看吧，这就是最权威的西医。这就是杀了你你还帮着他们点钞票的西医——更何况我们国内大多数更为可耻的西医！
这样对比中西医，更可以看出我们中医的长处了。
譬如上次那个怎么处理发烧的文章，就体现了我们中医的长处——西方人简直是才刚刚起步而已，而我们早已经走出老远了。
不知道fengning上次说的MAYO CLINIC这方面的资料是否全？

[ Last edited by 寻找中医 on 2006/1/3 at 08:59 ]

fengning

美国好的医院都有比较齐全的对常见病的处理措施。医生实际上也是照着这个“guideline"处理病人。